How much rates vary
Facilitymedian $851 · 10th to 90th $490 to $3,890Professionalmedian $1,096 · 10th to 90th $589 to $5,623
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $1,513.56 Median $3,090.30 Typical High $5,248.07 | Facility | None | $1,513.56 | $3,090.30 | $5,248.07 |
Aetna Setting Professional Modifier None Typical Low $630.96 Median $630.96 Typical High $1,513.56 | Professional | None | $630.96 | $630.96 | $1,513.56 |
AllWays Health Partners Setting Facility Modifier None Typical Low $524.81 Median $1,348.96 Typical High $3,981.07 | Facility | None | $524.81 | $1,348.96 | $3,981.07 |
AllWays Health Partners Setting Professional Modifier None Typical Low $588.84 Median $1,479.11 Typical High $5,623.41 | Professional | None | $588.84 | $1,479.11 | $5,623.41 |
Cigna Setting Facility Modifier None Typical Low $446.68 Median $1,445.44 Typical High $2,089.30 | Facility | None | $446.68 | $1,445.44 | $2,089.30 |
Cigna Setting Professional Modifier None Typical Low $436.52 Median $954.99 Typical High $2,187.76 | Professional | None | $436.52 | $954.99 | $2,187.76 |
Fallon Health Setting Facility Modifier None Typical Low $602.56 Median $776.25 Typical High $3,311.31 | Facility | None | $602.56 | $776.25 | $3,311.31 |
Fallon Health Setting Professional Modifier None Typical Low $660.69 Median $794.33 Typical High $1,071.52 | Professional | None | $660.69 | $794.33 | $1,071.52 |
Harvard Pilgrim Setting Facility Modifier None Typical Low $363.08 Median $794.33 Typical High $4,168.69 | Facility | None | $363.08 | $794.33 | $4,168.69 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $645.65 Median $1,258.93 Typical High $1,905.46 | Professional | None | $645.65 | $1,258.93 | $1,905.46 |
Mass General Brigham Setting Facility Modifier None Typical Low $524.81 Median $1,348.96 Typical High $3,981.07 | Facility | None | $524.81 | $1,348.96 | $3,981.07 |
Mass General Brigham Setting Professional Modifier None Typical Low $588.84 Median $1,479.11 Typical High $5,623.41 | Professional | None | $588.84 | $1,479.11 | $5,623.41 |
United Setting Facility Modifier None Typical Low $407.38 Median $870.96 Typical High $6,309.57 | Facility | None | $407.38 | $870.96 | $6,309.57 |
United Setting Professional Modifier None Typical Low $524.81 Median $870.96 Typical High $2,344.23 | Professional | None | $524.81 | $870.96 | $2,344.23 |
Well Sense Setting Facility Modifier None Typical Low $501.19 Median $707.95 Typical High $977.24 | Facility | None | $501.19 | $707.95 | $977.24 |
Well Sense Setting Professional Modifier None Typical Low $416.87 Median $416.87 Typical High $501.19 | Professional | None | $416.87 | $416.87 | $501.19 |
6 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $316.23 Median $316.23 Typical High $758.58 | Professional | 52 · Reduced service | $316.23 | $316.23 | $758.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $125.89 Median $125.89 Typical High $302.00 | Professional | 53 · Discontinued | $125.89 | $125.89 | $302.00 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $467.74 Median $467.74 Typical High $1,148.15 | Professional | 54 · Surgery only | $467.74 | $467.74 | $1,148.15 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $95.50 Median $95.50 Typical High $229.09 | Professional | 55 · Aftercare only | $95.50 | $95.50 | $229.09 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $63.10 Median $63.10 Typical High $151.36 | Professional | 56 · Pre-op care only | $63.10 | $63.10 | $151.36 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $436.52 Median $436.52 Typical High $1,071.52 | Professional | 78 · Unplanned return to OR | $436.52 | $436.52 | $1,071.52 |
Where Massachusetts sits
The same service costs 7.6 times more in Alaska than in Utah. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Massachusetts· 12th of 51
$1,072
AK $2,512UT $331
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.